Chun Wei Peng, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN03144 Issued in RI

Practice address

708 Warwick Ave
Warwick, RI 02888-2670

Phone

(401) 785-2111

NPI assigned

May 28, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark S. Bichajian, DMD, Inc.

  • Dental Clinic/Center
  • Warwick, RI
  • NPI 1871677583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380326400000",
    "number": "1508091018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882670",
            "telephone_number": "401-785-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "CHUN",
        "middle_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2013-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60096193",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03144",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelvic Health & Wellness LLC
• Ruby Pena Puello, FNP-C
• Rafael David Pena, PTA
• Pendar Investments, Inc.
• Karen Pendleton, APRN, CNP
• Jaylen Evin Pennisson, DO
• Jianna L Penno
• Kayleah Pensalfini
• Heather Leith Pepe, MS, OTR/L
• Joseph Pepe, DO

• Dentist in Warwick, RI
• Providers in Warwick, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.